2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1174542252 M.D.
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KAVEH BAGHERI, M.D.

Critical Care Medicine (Internal Medicine) Physician in LA MESA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 444 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.824/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$4.7K
66 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAVEH BAGHERI, M.D. reported a CMS MIPS final score of 77.824/100 — below the 83.1 national average — and filed 2,549 Medicare Part D claims in 2023.

77.824/100
MIPS score · -5 vs avg
3K
Part D claims, 2023
44%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

KAVEH BAGHERI, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

KAVEH BAGHERI, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KAVEH BAGHERI, M.D.?

Below national average

NPI registry status

Active

Issued 07/19/2006

NPI 1174542252

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

2,549 138% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

77.824/100 5.275999999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among California providers

California providers

Critical Care Medicine (Internal Medicine) Physician share within California

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within California

Medicare quality performance — MIPS

KAVEH BAGHERI, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
77.824/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 77.824/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 77.824/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KAVEH BAGHERI, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 8860 CENTER DRIVE, LA MESA, CA, 91942, with a listed phone of (619) 589-2535. NPI 1174542252 was issued on 07/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAGHERI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,549 prescription claims written by this provider, covering 444 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 56% brand-name and 44% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.824/100 for the 2023 performance year (Quality 47.5, Cost 69.9577), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

8860 CENTER DRIVE
LA MESA, CA 91942

Provider Details

NPI 1174542252
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/19/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.824
Final Score
Avg: 83.1
47.5
Quality
69.9577
Cost
80
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where KAVEH BAGHERI, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KAVEH BAGHERI, MD INCORPORATED
LA MESA, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KAVEH BAGHERI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$4.7K

Largest payer

GENZYME CORPORATION

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to KAVEH BAGHERI, M.D.. To verify KAVEH BAGHERI, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

KAVEH BAGHERI, M.D. — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 2,549 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,549
Total Claims
$1.5M
Total Drug Cost
444
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,725
Total Day Supply
105,341
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$1.4M
Antibiotic Claims
119

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.85
Gender Split
59% female / 41% male
Age Distribution
<65: 22, 65-74: 188, 75-84: 163, 85+: 71

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What KAVEH BAGHERI, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
341
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
271
Prednisone
210
Montelukast Sodium
168
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
155
Breo Ellipta
Fluticasone/Vilanterol
139
Symbicort
Budesonide/Formoterol Fumarate
131
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
116
Azithromycin
88
Spiriva Respimat
Tiotropium Bromide
75

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Critical Care Medicine (Internal Medicine) Physician Overview

How KAVEH BAGHERI, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

KAVEH BAGHERI, M.D.'s 2,549 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as BAGHERI.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAVEH BAGHERI, M.D.'s specialty?
KAVEH BAGHERI, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in LA MESA, California. Credentials: M.D..
How much does KAVEH BAGHERI, M.D. prescribe under Medicare Part D?
In 2023, KAVEH BAGHERI, M.D. wrote 2,549 Medicare Part D claims totaling $1.5M in drug costs for 444 beneficiaries.
What is KAVEH BAGHERI, M.D.'s Medicare quality score?
KAVEH BAGHERI, M.D. has a CMS MIPS Final Score of 77.824/100 (Quality: 47.5, Cost: 69.9577). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAVEH BAGHERI, M.D. located?
KAVEH BAGHERI, M.D. is located at 8860 CENTER DRIVE, LA MESA, CA, 91942. Phone: (619) 589-2535.
What is KAVEH BAGHERI, M.D.'s NPI number?
KAVEH BAGHERI, M.D.'s National Provider Identifier (NPI) is 1174542252, issued on 07/19/2006.
Does KAVEH BAGHERI, M.D. prescribe more brand-name or generic drugs?
KAVEH BAGHERI, M.D.'s prescribing is 56% brand-name and 44% generic drugs by claim count, with $1.4M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does KAVEH BAGHERI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAVEH BAGHERI, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAVEH BAGHERI, M.D. accept Medicare?
KAVEH BAGHERI, M.D. appears in CMS Medicare data with 2,549 Part D claims and 444 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAVEH BAGHERI, M.D.'s credentials?
KAVEH BAGHERI, M.D.'s NPI is 1174542252 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology